{"title":"Introductory Chapter: Emerging Challenges in Filovirus Control","authors":"S. Okware","doi":"10.5772/intechopen.90653","DOIUrl":"https://doi.org/10.5772/intechopen.90653","url":null,"abstract":"Infectious diseases in history have made a significant contribution to morbidity and mortality as well as disability worldwide. Nearly a quarter of the estimated 60 million reported deaths in the world each year are related to infectious diseases [1]. The influenza outbreak of 1918–1919 was the worst such incident in living memory during which nearly 40 million people died worldwide. The unprecedented Black Death plague outbreak in the mid 1300 equally killed millions of people. Filoviruses as emerging infections appear to be on the same path, with an ever-increasing significant global impact on public health, human traffic and commerce. The recent West African Ebola outbreak which affected 10 countries in West Africa, Europe and the USA has demonstrated its capacity to be a global threat with profound psychological, emotional and mental repercussions. Its highly virulent nature over the years and the recent West African Ebola outbreak generated considerable panic and unprecedented global public health emergency [2]. Filoviruses are comprised of the Marburg and Ebola viruses. Since the discovery of the Marburg virus disease in the 1967, and the Ebola virus disease in 1976, over 50 filovirus disease outbreaks due to Marburgvirus and Ebolavirus have occurred. Some 37 Ebola virus disease and 14 Marburg virus disease outbreaks occurred mostly in Africa. The recent 2013–2016 outbreak in West Africa was so far the largest and most devastating. At the end of the epidemic, about 28,000 cases and 11,000 deaths were recorded. The case fatality for both viruses is very high (34–90%). There is yet no known cure. Since July 2018, the second largest EBOV outbreak is devastating Eastern Democratic Republic of the Congo with over 1600 cases and 1000 deaths reported by October 2019 [3]. New data from the West African epidemic suggests an expansion of our understanding on ecology and geographical scope of these viruses. The pattern of occurrence and its negative impact on the economy, society and development is emerging.","PeriodicalId":231756,"journal":{"name":"Emerging Challenges in Filovirus Infections","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131096986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Emerging Challenges in Transmission and Detection of Filovirus Infections in Developing Countries","authors":"S. Okware","doi":"10.5772/intechopen.90801","DOIUrl":"https://doi.org/10.5772/intechopen.90801","url":null,"abstract":"This chapter reviews the emerging challenges in the transmission and detection of Ebola and Marburg filoviruses since their identification in 1967 and 1976, respectively. Five known highly fatal Ebola species are examined. Ebola outbreaks comprising of 14 EBOV, 7 SUDV, and 4 BDBV infections are reviewed, including the largest West African Ebola outbreak. The ecology of filoviruses and the possible interactions with intermediate hosts and reservoirs is also examined. Evidence that bats are the principal reservoirs of these infections is reviewed. Surveys raise the possibility that other nonhuman primates including dogs may be involved. Challenges on the presumed modes of transmission are discussed with a possibility of droplet and aerosol routes. The discovery of Ebola virus in pigs and its potential impact on the food chain are discussed. The WHO Syndrome Case definition guide-lines for diagnosis are examined and shortcomings discussed. However, the early case detection is undermined by the many tropical diseases with similar symptoms. The low positive predictive value for diagnosis based on the antibody antigen assays in outbreaks complicates early isolation and action especially in resource con-strained settings. The chapter suggests improvements and areas for further research on the ecology, transmission, and management of filovirus infections.","PeriodicalId":231756,"journal":{"name":"Emerging Challenges in Filovirus Infections","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126377274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J. Gonzalez, M. Souris, M. Sylla, F. Veas, T. Vincent
{"title":"Essay on the Elusive Natural History of Ebola Viruses","authors":"J. Gonzalez, M. Souris, M. Sylla, F. Veas, T. Vincent","doi":"10.5772/intechopen.88879","DOIUrl":"https://doi.org/10.5772/intechopen.88879","url":null,"abstract":"This chapter presents a review of what is known about the natural history of the Ebolaviruses in Central and West Africa as well as in the Philippines. All the previous hypotheses on the natural cycle of Ebolavirus are revisited. Also, the main factors driving the virus natural cycle are summarized for the different ecosystems where the Ebolavirus is known to have emerged, including the virus species, the date of emergence, the seasonality, the environmental features, as well as the potential risk and associated factors of emergence. The proposed hypothesis of the Ebolavirus natural cycle prevails an inter-species spillover involving several vertebrate hosts, as well as biotic and abiotic changing environmental factors among other original features of a complex natural cycle. It is also compared with other virus having such type of cycle involving chiropteran as potential reservoir and vector and presenting such original inter-outbreak epidemiological silences. Ultimately, these observations and hypotheses on Ebolavirus natural cycles give some insight into the potential drivers of virus emergence, host co-evolution, and a spatiotemporal dimension of risk leading to identify high risk areas for preventing emerging events and be prepared for an early response.","PeriodicalId":231756,"journal":{"name":"Emerging Challenges in Filovirus Infections","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122178508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Faye, C. Diagne, A. Diallo, E. Meyer, B. Soropogui, G. Fall, C. Fall, N. Magassouba, L. Koivogui, S. Keita, C. Loucoubar, M. Diop, M. Weidmann, O. Faye, A. Sall
{"title":"Molecular Diagnostics of Ebola Patient Samples by Institut Pasteur de Dakar Mobile Laboratory in Guinea 2014–2016","authors":"O. Faye, C. Diagne, A. Diallo, E. Meyer, B. Soropogui, G. Fall, C. Fall, N. Magassouba, L. Koivogui, S. Keita, C. Loucoubar, M. Diop, M. Weidmann, O. Faye, A. Sall","doi":"10.5772/intechopen.88263","DOIUrl":"https://doi.org/10.5772/intechopen.88263","url":null,"abstract":"As part of the laboratory response to the Ebola virus outbreak in Guinea, the Institut Pasteur de Dakar mobile laboratory (IPD-ML) was set up in Donka hospital from 2014 to 2016. EBOV suspected samples collected at Ebola Treatment Centers (ETC) and from community deaths were sent daily to IPD-ML. Analysis was performed using dried oligonucleotide mixes for real-time RT-PCR designed for field diagnostic. From March 2014 to May 2015, a total of 6055 patient samples suspected for EBOV collected from seven regions of Guinea were tested by real-time RT-PCR. These patients’ clinical included serum samples (n = 2537 samples) and swabs (n = 3518 samples) with positivity rates of 36.74 and 6.88% respectively. Females were significantly more affected than males with positivity rates of 22.39 and 17.22% respectively (p-value = 5.721e-7). All age groups were exposed to the virus with significant difference (p-value <= 2.2e-16). The IPD-ML contributed significantly to the surveillance and patient management during the EBOV outbreak in Guinea. Furthermore, dried reagents adapted for field diagnostic of EVD suspect cases could be useful for future outbreak preparedness and response.","PeriodicalId":231756,"journal":{"name":"Emerging Challenges in Filovirus Infections","volume":"2011 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133830096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maternal Filovirus Infection and Death from Marburg and Ravn Viruses: Highly Lethal to Pregnant Women and Their Fetuses Similar to Ebola Virus","authors":"D. Schwartz","doi":"10.5772/INTECHOPEN.88270","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.88270","url":null,"abstract":"Ebola virus and the marburgviruses are distinct filoviruses that share common clinical presentations and clinical management protocols. However, the marburgviruses are not as well known as is their close relative, Ebola virus, and are a much less frequent cause of human outbreaks. Marburg virus disease (MVD) is caused by two marburgviruses that are clinically indistinguishable—Marburg virus and Ravn virus. There is scant information available concerning MVD in pregnancy, but it appears clear that, similar to Ebola virus, MVD infection is associated with an extremely high maternal and fetal mortality rate. This chapter will examine what is known about Marburg and Ravn virus infections in pregnant women, their clinical outcomes, and the pathogenesis of MVD in experimental animal models of infection. These data will be compared with the more comprehensive information available regarding Ebola virus disease in pregnancy including its effects on pregnant women and the fetus.","PeriodicalId":231756,"journal":{"name":"Emerging Challenges in Filovirus Infections","volume":"49 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126103464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interaction of Ebola Virus with the Innate Immune System","authors":"Felix He, K. Melén, L. Kakkola, I. Julkunen","doi":"10.5772/INTECHOPEN.86749","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.86749","url":null,"abstract":"Ebola viruses (EBOV) are zoonotic pathogens that cause severe diseases in humans and have been responsible for several disease outbreaks over the past 40 years. Ebola virus disease (EVD) leads to death on an average of 45–50% of cases, but in some outbreaks, the figures have been higher. The largest EVD outbreak in West Africa in 2014–2015 lead to more than 28,000 cases and 11,300 fatalities. Host innate immune responses are vital in restricting the spread of viral infections including that of Ebola virus. EBOV and some other filoviruses are known to trigger uncontrolled virus replication by suppressing host innate immune responses, mainly by targeting the antiviral response through virus proteins. At least EBOV VP24 and VP35 proteins have been shown to inhibit the expression of type I and III interferon (IFN) genes as well as to inhibit IFN signaling leading to downregulated IFN-induced antiviral responses. In this review we concentrate on describing the mechanisms by which EBOV contributes to the pathogenesis of severe disease and on how the virus interacts with the host innate immune system.","PeriodicalId":231756,"journal":{"name":"Emerging Challenges in Filovirus Infections","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116969470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}